Individual provider Active NPI

Marisel Del Carmen Trista Martinez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710772280
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F-02250662 Issued in FL
Practice address
2215 NW 36TH St
Miami, FL 33142-5357
Phone
(786) 502-3857
Fax
(786) 391-3787
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F-02250662 FL Primary

Addresses

Primary practice location

2215 NW 36TH St
Miami, FL 33142-5357

Mailing address

655 NW 123Rd Path
Miami, FL 33182-2050
Phone (561) 667-8136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F-02250662FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1710772280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 NW 123RD PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822050",
            "telephone_number": "561-667-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425357",
            "telephone_number": "786-502-3857",
            "fax_number": "786-391-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISTA MARTINEZ",
        "first_name": "MARISEL",
        "middle_name": "DEL CARMEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F-02250662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.